Hospitals & healthcare
Equipment condemnation request template
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Equipment Condemnation Request
Date: Date
To the Chair of the Condemnation Committee,
We recommend removing from service the Device Name, asset no. Asset Number, serial no. Serial Number, located in Department, because Reason for Condemnation. The device is Device Age years old, and its repair would cost SAR Repair Cost against a book value of SAR Book Value.
Biomedical engineer: Engineer Name
Signature: Signature